Healthcare Provider Details

I. General information

NPI: 1215436019
Provider Name (Legal Business Name): CHERIE N MARSH MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHERIE A MARSH

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 S. 800 W
PLEASANT GROVE UT
84062
US

IV. Provider business mailing address

867 S. 800 W.
PLEASANT GROVE UT
84062
US

V. Phone/Fax

Practice location:
  • Phone: 801-785-9019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number109889
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number10898475-4102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: